Form 1040 Internal Revenue Service (99) U.S. Individual Income Tax Return OMB. 1545-0074 IRS Use Only Do not write or staple in this space. Filing status: Single Married filing jointly Married filing separately Head of household Qualifying widow(er) Your first name and initial Last name Your social security number Guy Your standard deduction: Someone can claim you as a dependent You were born before January 2, 1954 You are blind If joint return, spouse's first name and initial Last name Spouse s social security number Mary Spouse standard deduction: Someone can claim your spouse as a dependent Spouse was born before January 2, 1954 Spouse is blind Spouse itemizes on a separate return or you were dual-status alien Full-year health care coverage or exempt (see inst.) Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign Camp Place (see inst.) You Spouse City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. If more than four dependents, New Orleans LA 70130 see inst. and here Dependents (see instructions): (2) Social security number (3) Relationship to you (4) if qualifies for (see inst.): (1) First name Last name Child tax credit Credit for other dependents Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it Writer here (see inst.) Spouse s signature. If a joint return, both must sign. Date Spouse s occupation If the IRS sent you an Identity Protection PIN, enter it Teacher here (see inst.) Preparer s name Preparer s signature PTIN Firm s EIN Check if: Peter Jason Riley, CPA Peter Jason Riley, CPA RILEY & ASSOCIATES, P.C. Focal 444-55-6666 Focal 555-66-7777 P00413102 04-3577120 (978)463-9350 3rd Party Designee Firm s name Phone no. Self-employed Firm s address 5 PERRY WAY - P O BOX 157 NEWBURYPORT MA 01950 For Disclosure, Privacy Act, and Paperwork Reduction Act tice, see separate instructions. BAA REV 01/07/19 PRO Form 1040 ()
Form 1040 () Page 2 89,632. 1 Wages, salaries, tips, etc. Attach Form(s) W-2................ 1 2a Tax-exempt interest... 2a b Taxable interest... 2b 147. Attach Form(s) W-2. Also attach 3a Qualified dividends... 3a 71. b Ordinary dividends.. 3b 89. Form(s) W-2G and 1099-R if tax was 4a IRAs, pensions, and annuities. 4a b Taxable amount... 4b withheld. 5a Social security benefits.. 5a b Taxable amount... 5b 6 Total income. Add lines 1 through 5. Add any amount from Schedule 1, line 22 2,537...... 6 92,405. 7 Adjusted gross income. If you have no adjustments to income, enter the amount from line 6; otherwise, Standard subtract Schedule 1, line 36, from line 6................. 7 92,229. Deduction for 8 Standard deduction or itemized deductions (from Schedule A)............ 8 24,000. Single or married filing separately, 9 Qualified business income deduction (see instructions).............. 9 463. $12,000 10 Taxable income. Subtract lines 8 and 9 from line 7. If zero or less, enter -0-........ 10 67,766. Married filing jointly or Qualifying 11 a Tax (see inst.) 7,740. (check if any from: 1 Form(s) 8814 2 Form 4972 3 ) widow(er), $24,000 b Add any amount from Schedule 2 and check here............ 11 7,740. Head of 12 a Child tax credit/credit for other dependents b Add any amount from Schedule 3 and check here 12 household, $18,000 13 Subtract line 12 from line 11. If zero or less, enter -0-.............. 13 7,740. If you checked 14 Other taxes. Attach Schedule 4.................... 14 352. any box under Standard 15 Total tax. Add lines 13 and 14.................... 15 8,092. deduction, see instructions. 16 Federal income tax withheld from Forms W-2 and 1099............. 16 10,310. 17 Refundable credits: a EIC (see inst.) b Sch. 8812 c Form 8863 Add any amount from Schedule 5.............. 17 18 Add lines 16 and 17. These are your total payments.............. 18 10,310. 19 If line 18 is more than line 15, subtract line 15 from line 18. This is the amount you overpaid.... 19 Refund 2,218. 20a Amount of line 19 you want refunded to you. If Form 8888 is attached, check here.... 20a 2,218. Direct deposit? b Routing number X X X X X X X X X c Type: Checking Savings See instructions. d Account number X X X X X X X X X X X X X X X X X 21 Amount of line 19 you want applied to your 2019 estimated tax.. 21 Amount You Owe 22 Amount you owe. Subtract line 18 from line 15. For details on how to pay, see instructions... 22 23 Estimated tax penalty (see instructions)........ 23 Go to www.irs.gov/form1040 for instructions and the latest information. REV 01/07/19 PRO Form 1040 ()
SCHEDULE 1 (Form 1040) Internal Revenue Service Name(s) shown on Form 1040 Guy & Mary Focal Additional Income Additional Income and Adjustments to Income Attach to Form 1040. Go to www.irs.gov/form1040 for instructions and the latest information. 1 9 b Reserved........................ 1 9b 10 Taxable refunds, credits, or offsets of state and local income taxes..... 10 11 Alimony received...................... 11 12 Business income or (loss). Attach Schedule C or C-EZ......... 12 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here 13 14 Other gains or (losses). Attach Form 4797.............. 14 15a Reserved........................ 15b 16a Reserved........................ 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 18 Farm income or (loss). Attach Schedule F.............. 18 19 Unemployment compensation................. 19 20a Reserved........................ 20b 21 Other income. List type and amount 21 OMB. 1545-0074 Sequence. 01 Your social security number 444-55-6666 2,493. 44. 22 Combine the amounts in the far right column. If you don t have any adjustments to income, enter here and include on Form 1040, line 6. Otherwise, go to line 23.. 22 2,537. Adjustments 23 Educator expenses............ 23 to Income 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106.. 24 25 Health savings account deduction. Attach Form 8889. 25 26 Moving expenses for members of the Armed Forces. Attach Form 3903............ 26 27 Deductible part of self-employment tax. Attach Schedule SE 27 176. 28 Self-employed SEP, SIMPLE, and qualified plans.. 28 29 Self-employed health insurance deduction.... 29 30 Penalty on early withdrawal of savings...... 30 31a Alimony paid b Recipient s SSN 31a 32 IRA deduction.............. 32 33 Student loan interest deduction........ 33 34 Reserved............... 34 35 Reserved............... 35 36 Add lines 23 through 35................... 36 176. For Paperwork Reduction Act tice, see your tax return instructions. Schedule 1 (Form 1040) REV 12/21/18 PRO
SCHEDULE 4 (Form 1040) Internal Revenue Service Name(s) shown on Form 1040 Other Taxes Other Taxes Attach to Form 1040. Go to www.irs.gov/form1040 for instructions and the latest information. 57 Self-employment tax. Attach Schedule SE............ 57 58 Unreported social security and Medicare tax from: Form a 4137 b 8919 58 59 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required............. 59 60a Household employment taxes. Attach Schedule H.......... 60a b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required........................ 60b 61 Health care: individual responsibility (see instructions)......... 61 62 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 62 63 Section 965 net tax liability installment from Form 965-A.............. 63 64 Add the amounts in the far right column. These are your total other taxes. Enter here and on Form 1040, line 14................ 64 OMB. 1545-0074 Sequence. 04 Your social security number Guy & Mary Focal 444-55-6666 352. 352. For Paperwork Reduction Act tice, see your tax return instructions. REV 12/21/18 PRO Schedule 4 (Form 1040)
SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) OMB. 1545-0074 Sequence. 09 Internal Revenue Service (99) Go to www.irs.gov/schedulec for instructions and the latest information. Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. Name of proprietor Social security number (SSN) Guy Focal 444-55-6666 A Principal business or profession, including product or service (see instructions) B Enter code from instructions Writer 7 1 1 5 1 0 C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.) E Business address (including suite or room no.) City, town or post office, state, and ZIP code Camp Place New Orleans, LA 70130 F Accounting method: (1) Cash (2) Accrual (3) Other (specify) G Did you materially participate in the operation of this business during? If, see instructions for limit on losses. H If you started or acquired this business during, check here................. I Did you make any payments in that would require you to file Form(s) 1099? (see instructions)........ J If, did you or will you file required Forms 1099?..................... Part I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the Statutory employee box on that form was checked......... 1 22,744. 2 Returns and allowances......................... 2 3 Subtract line 2 from line 1........................ 3 22,744. 4 Cost of goods sold (from line 42)...................... 4 2,757. 5 Gross profit. Subtract line 4 from line 3.................... 5 19,987. 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions).... 6 7 Gross income. Add lines 5 and 6..................... 7 19,987. Part II Expenses. Enter expenses for business use of your home only on line 30. 8 Advertising..... 8 18 Office expense (see instructions) 18 187. 9 Car and truck expenses (see 19 Pension and profit-sharing plans. 19 instructions)..... 9 1,129. 20 Rent or lease (see instructions): 10 Commissions and fees. 10 a Vehicles, machinery, and equipment 20a 11 Contract labor (see instructions) 11 1,520. b Other business property... 20b 12 Depletion..... 12 21 Repairs and maintenance... 21 120. 13 Depreciation and section 179 22 Supplies (not included in Part III). 22 288. expense deduction (not included in Part III) (see 23 Taxes and licenses..... 23 instructions)..... 13 3,272. 24 Travel and meals: 14 Employee benefit programs a Travel......... 24a 3,940. (other than on line 19).. 14 b Deductible meals (see 15 Insurance (other than health) 15 instructions)....... 24b 210. 16 Interest (see instructions): 25 Utilities........ 25 a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits). 26 b Other...... 16b 27 a Other expenses (from line 48).. 27a 3,106. 17 Legal and professional services 17 300. b Reserved for future use... 27b 28 Total expenses before expenses for business use of home. Add lines 8 through 27a...... 28 14,072. 29 Tentative profit or (loss). Subtract line 28 from line 7................. 29 5,915. 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business:. Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30......... 30 3,422. 31 Net profit or (loss). Subtract line 30 from line 29. If a profit, enter on both Schedule 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. } 31 2,493. If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see instructions). } If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). 32a All investment is at risk. Estates and trusts, enter on Form 1041, line 3. 32b Some investment is not at risk. If you checked 32b, you must attach Form 6198. Your loss may be limited. For Paperwork Reduction Act tice, see the separate instructions. BAA REV 12/21/18 PRO Schedule C (Form 1040)
Schedule C (Form 1040) Page 2 Part III Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a Cost b Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If, attach explanation.......................... 35 Inventory at beginning of year. If different from last year s closing inventory, attach explanation... 35 36 Purchases less cost of items withdrawn for personal use.............. 36 37 Cost of labor. Do not include any amounts paid to yourself.............. 37 38 Materials and supplies........................ 38 39 Other costs............................ 39 40 Add lines 35 through 39........................ 40 41 Inventory at end of year........................ 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4...... 42 2,757. Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (month, day, year) 44 Of the total number of miles you drove your vehicle during, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions) c Other 1,307. 1,450. 2,757. 45 Was your vehicle available for personal use during off-duty hours?............... 46 Do you (or your spouse) have another vehicle available for personal use?.............. 47a Do you have evidence to support your deduction?.................... b If, is the evidence written?......................... Part V Other Expenses. List below business expenses not included on lines 8 26 or line 30. AMORTIZATION 308. Merchant/PayPal Fees 143. Image Scanning 395. ISP 205. Publications 877. Research - Streaming Video/DVD 204. Dues and Subscriptions 305. Communications 287. Postage 382. 48 Total other expenses. Enter here and on line 27a................ 48 3,106. REV 12/21/18 PRO Schedule C (Form 1040)
SCHEDULE SE (Form 1040) Self-Employment Tax Go to www.irs.gov/schedulese for instructions and the latest information. Internal Revenue Service (99) Attach to Form 1040 or Form 1040NR. Name of person with self-employment income (as shown on Form 1040 or Form 1040NR) Social security number of person with self-employment income Before you begin: To determine if you must file Schedule SE, see the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? te: Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. Did you receive wages or tips in? Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from on earnings from these sources, but you owe self-employment self-employment more than $128,400? tax on other earnings? Are you using one of the optional methods to figure your net earnings (see instructions)? Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more? You may use Short Schedule SE below Did you receive tips subject to social security or Medicare tax that you didn't report to your employer? Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages? You must use Long Schedule SE on page 2 Section A Short Schedule SE. Caution: Read above to see if you can use Short Schedule SE. OMB. 1545-0074 Sequence. 17 Guy Focal 444-55-6666 1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A........................ 1a b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b ( ) 2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report.............. 2 2,493. 3 Combine lines 1a, 1b, and 2..................... 3 2,493. 4 Multiply line 3 by 92.35% (0.9235). If less than $400, you don't owe self-employment tax; don't file this schedule unless you have an amount on line 1b............. 4 2,302. te: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions. 5 Self-employment tax. If the amount on line 4 is: $128,400 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Schedule 4 (Form 1040), line 57, or Form 1040NR, line 55 More than $128,400, multiply line 4 by 2.9% (0.029). Then, add $15,921.60 to the result. Enter the total here and on Schedule 4 (Form 1040), line 57, or Form 1040NR, line 55.. 5 352. 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (0.50). Enter the result here and on Schedule 1 (Form 1040), line 27, or Form 1040NR, line 27. 6 176. For Paperwork Reduction Act tice, see your tax return instructions. BAA REV 12/22/18 PRO Schedule SE (Form 1040)
Form 8829 Internal Revenue Service (99) Name(s) of proprietor(s) Expenses for Business Use of Your Home File only with Schedule C (Form 1040). Use a separate Form 8829 for each home you used for business during the year. Go to www.irs.gov/form8829 for instructions and the latest information. OMB. 1545-0074 Sequence. 176 Your social security number Guy Focal 444-55-6666 Part I Part of Your Home Used for Business Writer 1 Area used regularly and exclusively for business, regularly for daycare, or for storage of inventory or product samples (see instructions)................ 1 236 2 Total area of home......................... 2 1,688 3 Divide line 1 by line 2. Enter the result as a percentage............. 3 13.98 % For daycare facilities not used exclusively for business, go to line 4. All others, go to line 7. 4 Multiply days used for daycare during year by hours used per day 4 hr. 5 Total hours available for use during the year (365 days x 24 hours) (see instructions) 5 8,760 hr. 6 Divide line 4 by line 5. Enter the result as a decimal amount... 6 7 Business percentage. For daycare facilities not used exclusively for business, multiply line 6 by line 3 (enter the result as a percentage). All others, enter the amount from line 3..... 7 13.98 % Part II Figure Your Allowable Deduction 8 Enter the amount from Schedule C, line 29, plus any gain derived from the business use of your home, minus any loss from the trade or business not derived from the business use of your home (see instructions) 8 5,915. See instructions for columns (a) and (b) before completing lines 9 22. (a) Direct expenses (b) Indirect expenses 9 Casualty losses (see instructions)..... 9 10 Deductible mortgage interest (see instructions) 10 6,411. 11 Real estate taxes (see instructions).... 11 3,144. 12 Add lines 9, 10, and 11........ 12 9,555. 13 Multiply line 12, column (b), by line 7.... 13 1,336. 14 Add line 12, column (a), and line 13.... 14 1,336. 15 Subtract line 14 from line 8. If zero or less, enter -0-15 4,579. 16 Excess mortgage interest (see instructions). 16 17 Excess real estate taxes (see instructions).. 17 18 Insurance............ 18 2,966. 19 Rent.............. 19 20 Repairs and maintenance....... 20 841. 21 Utilities............. 21 3,188. 22 Other expenses (see instructions)..... 22 23 Add lines 16 through 22........ 23 6,995. 24 Multiply line 23, column (b), by line 7........... 24 978. 25 Carryover of prior year operating expenses (see instructions).. 25 26 Add line 23, column (a), line 24, and line 25................. 26 978. 27 Allowable operating expenses. Enter the smaller of line 15 or line 26......... 27 978. 28 Limit on excess casualty losses and depreciation. Subtract line 27 from line 15..... 28 3,601. 29 Excess casualty losses (see instructions)......... 29 30 Depreciation of your home from line 42 below....... 30 1,108. 31 Carryover of prior year excess casualty losses and depreciation (see instructions).................. 31 32 Add lines 29 through 31........................ 32 33 Allowable excess casualty losses and depreciation. Enter the smaller of line 28 or line 32.. 33 34 Add lines 14, 27, and 33........................ 34 35 Casualty loss portion, if any, from lines 14 and 33. Carry amount to Form 4684 (see instructions) 35 36 Allowable expenses for business use of your home. Subtract line 35 from line 34. Enter here and on Schedule C, line 30. If your home was used for more than one business, see instructions 36 Part III Depreciation of Your Home 37 Enter the smaller of your home s adjusted basis or its fair market value (see instructions).. 37 38 Value of land included on line 37..................... 38 39 Basis of building. Subtract line 38 from line 37................ 39 40 Business basis of building. Multiply line 39 by line 7............... 40 1,108. 1,108. 3,422. 3,422. 370,000. 65,000. 305,000. 42,639. 41 Depreciation percentage (see instructions).................. 41 2.5641 % 42 Depreciation allowable (see instructions). Multiply line 40 by line 41. Enter here and on line 30 above 42 1,108. Part IV Carryover of Unallowed Expenses to 2019 43 Operating expenses. Subtract line 27 from line 26. If less than zero, enter -0-...... 43 0. 44 Excess casualty losses and depreciation. Subtract line 33 from line 32. If less than zero, enter -0-44 0. For Paperwork Reduction Act tice, see your tax return instructions. BAA REV 12/21/18 PRO Form 8829 ()
Form 4562 Internal Revenue Service (99) Depreciation and Amortization (Including Information on Listed Property) Attach to your tax return. Go to www.irs.gov/form4562 for instructions and the latest information. OMB. 1545-0172 Sequence. 179 Name(s) shown on return Business or activity to which this form relates Identifying number Guy & Mary Focal Sch C Writer 444-55-6666 Part I Election To Expense Certain Property Under Section 179 te: If DO you have any listed property, NOT complete Part V before you FILE complete Part I. 1 Maximum amount (see instructions)....................... 1 1,000,000. 2 Total cost of section 179 property placed in service (see instructions)........... 2 12,341. 3 Threshold cost of section 179 property before reduction in limitation (see instructions)...... 3 2,500,000. 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-.......... 4 0. 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions......................... 5 1,000,000. 6 (a) Description of property (b) Cost (business use only) (c) Elected cost imac 1,699. 1,699. 7 Listed property. Enter the amount from line 29......... 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7...... 8 1,699. 9 Tentative deduction. Enter the smaller of line 5 or line 8................ 9 1,699. 10 Carryover of disallowed deduction from line 13 of your 2017 Form 4562........... 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions. 11 93,824. 12 Section 179 expense deduction. Add lines 9 and 10, but don t enter more than line 11...... 12 1,699. 13 Carryover of disallowed deduction to 2019. Add lines 9 and 10, less line 12 13 0. te: Don t use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Don t include listed property. See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year. See instructions....................... 14 15 Property subject to section 168(f)(1) election.................... 15 16 Other depreciation (including ACRS)...................... 16 Part FORM III MACRS Depreciation (Don t include NOT listed property. See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before....... 17 1,200. 18 If you are electing to group any assets placed in service during the tax year into FINALC one or more general asset accounts, check here...................... Section B Assets Placed in Service During Tax Year Using the General Depreciation System (a) Classification of property (b) Month and year (c) Basis for depreciation placed in (business/investment use (d) Recovery service only see instructions) period (e) Convention (f) Method (g) Depreciation deduction 19a 3-year property b 5-year property 10,642. 5.0 HY Various 1,481. c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property 25 yrs. S/L h Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L i nresidential real 39 yrs. MM S/L property MM S/L Section C Assets Placed in Service During Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 30-year 30 yrs. MM S/L d 40-year DO NOT 40 yrs. MM FILE S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28.................... 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations see instructions. 22 4,380. 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs........ 23 For Paperwork Reduction Act tice, see separate instructions. BAA REV 01/02/19 PRO Form 4562 ()
Form 4562 () Page 2 Part V Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for entertainment, recreation, or amusement.) te: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a Do you have evidence to support the business/investment use claimed? 24b If, is the evidence written? DO (c) NOT (e) FILE (a) (b) (f) (g) (h) (i) Business/ (d) Basis for depreciation Type of property (list Date placed Recovery Method/ Depreciation Elected section 179 investment use Cost or other basis (business/investment vehicles first) in service period Convention deduction cost percentage use only) 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use. See instructions. 25 26 Property used more than 50% in a qualified business use: % % % 27 Property used 50% or less in a qualified business use: Vehicle 01/01/2011 17.54 % S/L % S/L % S/L 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1. 28 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1............ 29 Section B Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other more than 5% owner, or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. 30 Total business/investment miles driven during the year (don t include commuting miles). (a) Vehicle 1 (b) Vehicle 2 (c) Vehicle 3 (d) Vehicle 4 (e) Vehicle 5 (f) Vehicle 6 31 Total commuting miles driven during the year 3,500 32 Total other personal (noncommuting) FORM miles driven......... NOT 6,241 33 Total miles driven during the year. Add lines 30 through 32....... 11,813 34 Was the vehicle available for personal FINALC use during off-duty hours?..... 35 Was the vehicle used primarily by a more than 5% owner or related person?.. 36 Is another vehicle available for personal use? Section C Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren t more than 5% owners or related persons. See instructions. 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees?................................ 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners.. 39 Do you treat all use of vehicles by employees as personal use?................ 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received?................... 41 Do you meet the requirements concerning qualified automobile demonstration use? See instructions..... te: If your answer to 37, 38, 39, 40, or 41 is, don t complete Section B for the covered vehicles. Part VI Amortization (a) Description of costs 2,072 (e) (b) (c) (d) Amortization Date amortization Amortizable amount Code section period or DO begins NOT FILE percentage (f) Amortization for this year 42 Amortization of costs that begins during your tax year (see instructions): Website Costs 07/01/ 1,850. 197 3.00 yrs 308. 43 Amortization of costs that began before your tax year............. 43 44 Total. Add amounts in column (f). See the instructions for where to report........ 44 REV 01/02/19 PRO 308. Form 4562 ()